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Certified Coder-Medical Billing Specialist Job in Bristol, Tennessee

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Job Title: Certified Coder-Medical Billing Specialist

Employer:Johnson City Eye Clinic
Skills:Coding,Auditing,Claims Processing and Follow up
Required Certifications:CPC
Location:225 Midway Medical Park Bristol 37620, TN, US
Date Posted:7/1/2019

Certified Coder/Medical Billing Specialist


Description: This individual will be a full-time, highly accurate and motivated Coder/Biller. Primary duties include, but are not limited to coding, auditing, and reviewing daily charges for accuracy. Claims submission, posting payments and follow up on unpaid claims.




·       Interprets operative report and accurately codes surgery charges in a timely manner.

·       Reviews and processes claims electronically assuring accuracy to avoid denials.

·       Works with physician and coding personnel to resolve coding issues.

·       Assist with audits to capture lost charges and determine the accuracy of billing as necessary.

·       Accurately Post insurance payments electronically and manual entry.

·       Follow-up of outstanding claims in a timely manner, including filing appeals as necessary.

·       Communicate with Billing Manager to discuss and resolve reimbursement/billing issues.

·       Analyze insurance explanation of benefits for posting and follow up.

·       Utilize monthly aging accounts receivable reports to follow up on unpaid claims .

·       Assist patients with insurance/billing questions.

·       Responds to inquiries from provider offices and internal departments in a timely manner.

·       Other duties as assigned.




·       Certified Professional Coder with a minimum of 2 years medical billing experience.

·       A working knowledge of medical billing software.

·       Understanding of Medicare, Medicaid and commercial rules and regulations.

·       Excellent customer service and communication skills, both written and oral.

·       Ability to be a team player.

·       Strong organizational skills with attention to detail.

·       Pleasant, respectful, and empathetic personality and disposition.

·       Accuracy and management of multiple projects simultaneously.

·       Strong understanding of medical terminology, especially ophthalmic procedures.

·       Maintain current CPC and other credentialing and training.



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